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General NPI Number Information
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NPI Number | 1124200613
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Entity Type | Organization
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Legal Business Name | AKRON GENERAL MEDICAL CENTER
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 1587 BOETTLER RD SUITE 103
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City | UNIONTOWN
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State | OH
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Zip | 44685-7823
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Country | US
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Telephone | 330-896-9829
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Fax |
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Provider Business Mailing Address
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Address Line | 400 WABASH AVE
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-896-9829
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | MRS. PATRICIA A. DAVIS
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Credential | LPTA
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Telephone | 330-882-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 751
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License Number State | OH
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